Provider Demographics
NPI:1730958877
Name:BREW-THOMPSON, GIFTY
Entity type:Individual
Prefix:
First Name:GIFTY
Middle Name:
Last Name:BREW-THOMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7368 ALBEMARLE DR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-6533
Mailing Address - Country:US
Mailing Address - Phone:704-241-3598
Mailing Address - Fax:
Practice Address - Street 1:7368 ALBEMARLE DR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-6533
Practice Address - Country:US
Practice Address - Phone:704-241-3598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC334387374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide